Posts Tagged ‘Vanderbilt University Medical Center’

Dialysis Patients being discharged with no appeal, no assistance from CMS & ESRD

Thursday, September 19, 2013 | By Scott | No Comments

Sent: Tuesday, August 20, 2013 12:21 PM
To: Conway, Patrick H. (CMS/CCSQ)
Subject: Patients being discharged with no appeal.

Dr. Conway,

I have tried to reach you in the past. It appears that there is a trend, that has been going on for years. It has been allowing dialysis units to discharge patients for no cause, even with creative paperwork to discharge the patient unfairly. Then when a patient is discharged the patient is blackballed at any other clinic, denying them entrance. A patient is denied a transplant and used as a payback, by labeling them non-compliant…without the patients knowledge..It is a nightmare to be a patient on dialysis.

CMS promised me that they were not going to allow anymore discharges of patients unless they are violent. These Nephrologists are now dismissing them, because they can. I am getting a record number of discharges myself.

I have one currently in Nashville and have contacted CMS at the highest levels. This patient was dismissed from a Nephrologist from Vanderbilt Medical University, a co-director of Nephrology Clinical trials. Which receives Federal dollars. He is partners with Davita.

These are just some of the discharged patients that are recent, with CMS sitting on their hands. I will not insult you with the fact that the ESRD Networks are the main players in these discharges and provide the legal way to “dump” a patient. I thought they were for quality of care of the patients.

Patients speaking out on care are fearful of retaliation.

Patients discharged have no appeal process and die. CMS has been contacted on every discharge and has sat by and did nothing.

Patients are not allowed to see their charts in many clinic…

If your interested the information is below on how to reach me. I also would invite you to go on and go to patient stories and the news with the radio interviews of patients. This industry has been allowed to do pretty much as it pleases, CMS standing by silent. This is not about healthcare and the money for patient care is going to industry “bonuses”.

I am seeking help for patients getting quality of care and to have rights in these clinics. I have done thousands of complaints, with no help from CMS. It is about time to ensure patients have rights with qualified workers. It is getting where my caseload with discharged patients and abusive practices are on the rise.

Another trend is that we have had patients have full fledged strokes in clinics and the staff will not call 911, but will call the family. Infection control is another area that is costing lives and medicare money. They simply have them go to the ER for care and they are infection free.

Arlene Mullin-Tinker
Dialysis Advocates LLC

Download their reply, it isn’t very comforting.


Prayers Were Answered

Tuesday, September 10, 2013 | By Scott | No Comments

Thank you everyone for your prayers and support for Thomas in Nashville, he is now accepted in a Vanderbilt clinic. It appears that they had a change of heart, or was it the threat of involving the ALCU? It was a close call that he didn’t die, but he is not doing well…hopefully this will end this insanity. Someone needs to be held accountable.

Again, thank you for your prayers and Thomas appreciates every one. This young man will be able to live, but what about the patients we know nothing of their discharges and inhumane treatment.

If you or anyone you how is being mistreated, contact Dialysis Advocates.  We protect your privacy and it’s anonymous.  Patients have rights, but you must stand up for them.


Wednesday, August 28, 2013 | By Scott | No Comments

He is in the ICU at Vanderbilt. It does not look good.

I don’t know how Dr. Schulman, Vanderbilt, CMS and Davita can sleep at night. Including the ESRD Network which is your oversight for Quality of care, signs off on dismissals. Our tax dollars working against you.

To release Thomas was a death sentence and all the clinics nearby that denied him care also need to be ashamed…if they are even capable of any empathy.

CMS has been aware and has once again, will allow this patient to die.

It will not be hidden any longer. We are mobilizing this demonstration and patients, this could’ve been you. If not you, who will fight for you if you won’t even fight for yourselves. You have an opportunity now with the marches. Dont expect someone else to do it. Be supportive of the marches and those who care that you have rights.

What do I tell discharge patients, do a crime and you will get dialyze as a prisoner. But, if you’re discharged in this country the industry puts up every road block to ensure you die. With CMS allowing it.

Being poor is his crime and with no right of appeal, you die..

Shame on us as a Nation…patients you need to step up to the plate. I have handled many, many discharges and all you have to do in some cases is complain about care.

$39,000.00 – The Yearly Price of Her Son’s Life

Monday, August 26, 2013 | By Scott | No Comments

After Thomas Giglio was denied dialysis treatment at Vanderbilt University Medical Center in Nashville by Gerald Schulman, M.D., F.A.S.N. (also none of the other doctors at the medical center would accept Thomas as a blackballed patient), complaints were filed with the Tennessee Department of Health and numerous inquires by Dialysis Advocates to see if some justice could be obtained.

End Stage Renal Disease (ESRD) Network 8 located a permanent outpatient facility for Thomas to receive his dialysis treatments.  Unfortunately, it’s in another county since no other local facility would accept him, and when crossing county lines, transportation will cost $125.00 per trip, that’s $250.00 round trip per treatment!

Thomas’ Mom wrote Dialysis Advocates, “They could only find a ride for $250 per day x 13 days a month.  THat is the price for my son’s life.  They can’t afford it, but expect I can”.  She continued, “Dr. Schulman knew this was ahead for us when he “fired” Thomas”.

Get More Details, Download the PDF  Thomas_Giglio_Network_8